1
HESI OB MATERNITY TEST BANK | COMPREHENSIVE
BANK 2026/2027 | MATERNITY NURSING | 100
VERIFIED Q&A | DETAILED RATIONALES | NGN-
ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: ANTEPARTUM CARE AND ASSESSMENT – Questions 1–20
Q1: Antepartum – Gravida and Para
A woman who is pregnant for the third time and has two living children is documented as:
A. Gravida 2, Para 2
B. Gravida 3, Para 2
C. Gravida 3, Para 3
D. Gravida 2, Para 3
Correct Answer: B
Rationale: Gravida indicates the number of pregnancies, including the current one. Para indicates
the number of births after 20 weeks gestation. This woman is Gravida 3 (three pregnancies) and Para
2 (two births). [100% CORRECT]
Q2: Antepartum – Naegele's Rule
Using Naegele's rule, what is the estimated date of delivery (EDD) for a woman whose last menstrual
period (LMP) began on April 10, 2026?
A. January 17, 2027
B. January 10, 2027
C. January 24, 2027
D. January 3, 2027
Correct Answer: A
Rationale: Naegele's rule: subtract 3 months from the first day of the LMP (April → January) and add
7 days (10 + 7 = 17). The EDD is January 17, 2027. [100% CORRECT]
Q3: Antepartum – Prenatal Visits
A pregnant woman should schedule her first prenatal visit:
A. As soon as pregnancy is suspected
B. At 12 weeks gestation
C. At 20 weeks gestation
D. Only if complications occur
Correct Answer: A
Rationale: The first prenatal visit should occur as soon as pregnancy is suspected to establish
baseline data, confirm gestation, and begin prenatal care. [100% CORRECT]
,2
Q4: Antepartum – Fundal Height
At 20 weeks gestation, the fundal height should be approximately:
A. At the level of the umbilicus
B. At the level of the symphysis pubis
C. At the xiphoid process
D. Below the symphysis pubis
Correct Answer: A
Rationale: At 20 weeks, the fundus is typically at the level of the umbilicus. After 20 weeks, fundal
height in centimeters roughly equals gestational age in weeks. [100% CORRECT]
Q5: Antepartum – Fetal Heart Rate
What is the normal fetal heart rate range?
A. 80–120 bpm
B. 110–160 bpm
C. 160–200 bpm
D. 60–100 bpm
Correct Answer: B
Rationale: Normal fetal heart rate is 110–160 beats per minute. Tachycardia is >160, bradycardia is
<110. [100% CORRECT]
Q6: Antepartum – Alpha-Fetoprotein
Alpha-fetoprotein (AFP) screening is used to detect:
A. Neural tube defects and chromosomal abnormalities
B. Gestational diabetes
C. Preeclampsia
D. Placenta previa
Correct Answer: A
Rationale: AFP is a screening test for neural tube defects (e.g., spina bifida) and chromosomal
abnormalities (e.g., Down syndrome). Abnormal results require further testing. [100% CORRECT]
Q7: Antepartum – Gestational Diabetes Screening
When is the glucose tolerance test typically performed for gestational diabetes screening?
A. 8–12 weeks
B. 16–20 weeks
C. 24–28 weeks
D. 32–36 weeks
Correct Answer: C
Rationale: Gestational diabetes screening is typically performed at 24–28 weeks gestation using a 1-
hour glucose challenge test, followed by a 3-hour test if abnormal. [100% CORRECT]
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Q8: Antepartum – Group B Streptococcus
Group B Streptococcus (GBS) screening is performed at:
A. 12–16 weeks
B. 24–28 weeks
C. 35–37 weeks
D. 40 weeks
Correct Answer: C
Rationale: GBS screening is performed at 35–37 weeks gestation via vaginal and rectal swabs. If
positive, antibiotics are given during labor to prevent neonatal infection. [100% CORRECT]
Q9: Antepartum – RhoGAM
RhoGAM is administered to:
A. Rh-negative mothers with Rh-positive fetuses
B. Rh-positive mothers with Rh-negative fetuses
C. All pregnant women
D. Only after delivery
Correct Answer: A
Rationale: RhoGAM prevents Rh sensitization in Rh-negative mothers carrying Rh-positive fetuses. It
is given at 28 weeks and within 72 hours after delivery. [100% CORRECT]
Q10: Antepartum – Kick Counts
A pregnant woman should perform daily fetal movement counts (kick counts) starting at:
A. 16 weeks
B. 20 weeks
C. 28 weeks
D. 36 weeks
Correct Answer: C
Rationale: Daily kick counts are typically started at 28 weeks gestation. The mother counts fetal
movements for 1–2 hours; fewer than 10 movements in 2 hours warrants notification. [100%
CORRECT]
Q11: Antepartum – Danger Signs
Which symptom should be reported immediately during pregnancy?
A. Mild nausea
B. Vaginal bleeding
C. Occasional backache
D. Braxton Hicks contractions
Correct Answer: B
Rationale: Vaginal bleeding during pregnancy may indicate miscarriage, placenta previa, or
abruption. It should be reported immediately. [100% CORRECT]
HESI OB MATERNITY TEST BANK | COMPREHENSIVE
BANK 2026/2027 | MATERNITY NURSING | 100
VERIFIED Q&A | DETAILED RATIONALES | NGN-
ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: ANTEPARTUM CARE AND ASSESSMENT – Questions 1–20
Q1: Antepartum – Gravida and Para
A woman who is pregnant for the third time and has two living children is documented as:
A. Gravida 2, Para 2
B. Gravida 3, Para 2
C. Gravida 3, Para 3
D. Gravida 2, Para 3
Correct Answer: B
Rationale: Gravida indicates the number of pregnancies, including the current one. Para indicates
the number of births after 20 weeks gestation. This woman is Gravida 3 (three pregnancies) and Para
2 (two births). [100% CORRECT]
Q2: Antepartum – Naegele's Rule
Using Naegele's rule, what is the estimated date of delivery (EDD) for a woman whose last menstrual
period (LMP) began on April 10, 2026?
A. January 17, 2027
B. January 10, 2027
C. January 24, 2027
D. January 3, 2027
Correct Answer: A
Rationale: Naegele's rule: subtract 3 months from the first day of the LMP (April → January) and add
7 days (10 + 7 = 17). The EDD is January 17, 2027. [100% CORRECT]
Q3: Antepartum – Prenatal Visits
A pregnant woman should schedule her first prenatal visit:
A. As soon as pregnancy is suspected
B. At 12 weeks gestation
C. At 20 weeks gestation
D. Only if complications occur
Correct Answer: A
Rationale: The first prenatal visit should occur as soon as pregnancy is suspected to establish
baseline data, confirm gestation, and begin prenatal care. [100% CORRECT]
,2
Q4: Antepartum – Fundal Height
At 20 weeks gestation, the fundal height should be approximately:
A. At the level of the umbilicus
B. At the level of the symphysis pubis
C. At the xiphoid process
D. Below the symphysis pubis
Correct Answer: A
Rationale: At 20 weeks, the fundus is typically at the level of the umbilicus. After 20 weeks, fundal
height in centimeters roughly equals gestational age in weeks. [100% CORRECT]
Q5: Antepartum – Fetal Heart Rate
What is the normal fetal heart rate range?
A. 80–120 bpm
B. 110–160 bpm
C. 160–200 bpm
D. 60–100 bpm
Correct Answer: B
Rationale: Normal fetal heart rate is 110–160 beats per minute. Tachycardia is >160, bradycardia is
<110. [100% CORRECT]
Q6: Antepartum – Alpha-Fetoprotein
Alpha-fetoprotein (AFP) screening is used to detect:
A. Neural tube defects and chromosomal abnormalities
B. Gestational diabetes
C. Preeclampsia
D. Placenta previa
Correct Answer: A
Rationale: AFP is a screening test for neural tube defects (e.g., spina bifida) and chromosomal
abnormalities (e.g., Down syndrome). Abnormal results require further testing. [100% CORRECT]
Q7: Antepartum – Gestational Diabetes Screening
When is the glucose tolerance test typically performed for gestational diabetes screening?
A. 8–12 weeks
B. 16–20 weeks
C. 24–28 weeks
D. 32–36 weeks
Correct Answer: C
Rationale: Gestational diabetes screening is typically performed at 24–28 weeks gestation using a 1-
hour glucose challenge test, followed by a 3-hour test if abnormal. [100% CORRECT]
, 3
Q8: Antepartum – Group B Streptococcus
Group B Streptococcus (GBS) screening is performed at:
A. 12–16 weeks
B. 24–28 weeks
C. 35–37 weeks
D. 40 weeks
Correct Answer: C
Rationale: GBS screening is performed at 35–37 weeks gestation via vaginal and rectal swabs. If
positive, antibiotics are given during labor to prevent neonatal infection. [100% CORRECT]
Q9: Antepartum – RhoGAM
RhoGAM is administered to:
A. Rh-negative mothers with Rh-positive fetuses
B. Rh-positive mothers with Rh-negative fetuses
C. All pregnant women
D. Only after delivery
Correct Answer: A
Rationale: RhoGAM prevents Rh sensitization in Rh-negative mothers carrying Rh-positive fetuses. It
is given at 28 weeks and within 72 hours after delivery. [100% CORRECT]
Q10: Antepartum – Kick Counts
A pregnant woman should perform daily fetal movement counts (kick counts) starting at:
A. 16 weeks
B. 20 weeks
C. 28 weeks
D. 36 weeks
Correct Answer: C
Rationale: Daily kick counts are typically started at 28 weeks gestation. The mother counts fetal
movements for 1–2 hours; fewer than 10 movements in 2 hours warrants notification. [100%
CORRECT]
Q11: Antepartum – Danger Signs
Which symptom should be reported immediately during pregnancy?
A. Mild nausea
B. Vaginal bleeding
C. Occasional backache
D. Braxton Hicks contractions
Correct Answer: B
Rationale: Vaginal bleeding during pregnancy may indicate miscarriage, placenta previa, or
abruption. It should be reported immediately. [100% CORRECT]
